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[{"$nulls":8},"年　　　月　　　日"]
[null,"　 　公益社団法人　日本空手協会"]
[null," 　　      首席師範　植木　政明 殿"]
[]
[null,null,null,"指導者","　講 　習　会 　開　 催　 願 　い"]
[]
[null,null,null,"審判"]
[]
[]
[]
[null,null,"①都道府県名"]
[null,null,"②本部長名"]
["      ",null,"許可証送付先　　",null,null,"住所","〒"]
[{"$nulls":5},"名前",null,null,null,"("]
[]
[null,"　　 ③講習会開催日時",null,null,null,"　　　年　　月　　日　　時　　分　～"]
[]
[null,"　　 ④講習会開催場所"]
[]
[null,null,null,"住所","〒"]
[null,null,null,"("]
[]
[null,"     ⑤開催方法　　いずれかに☑を"]
[]
[null,null,"□　①総本部指導員派遣による指導者講習会と審判講習会"]
[]
[]
[null,null,"□　②各都道府県本部と所属の師範会メンバーとの連携による"]
[null,null,"　　　　　　　　　　　　　　　　　　　 指導者講習会と審判講習会"]
[]
[]
[null,null,"□　③師範会メンバーがいない為、都道府県本部技術局による"]
[null,null,"　　　　　　　　　　　　　　　　　　　 指導者講習会と審判講習会"]
[]
[]
[null,null,"※①の場合は、あわせて指導員派遣願いを提出する事"]
[]
[]
[]
[]
[null,null,null,"　　講　　習　　会　　開　　催　　許　　可　　証"]
[]
[{"$nulls":8},"　　　年　　　月　　　日"]
[]
[null,"　　　公益社団法人　日本空手協会 首席師範　植木　政明　　印"]

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